Provider Demographics
NPI:1437276722
Name:URBANIAK, LORRAINE LEE (MS, LMFT)
Entity Type:Individual
Prefix:MS
First Name:LORRAINE
Middle Name:LEE
Last Name:URBANIAK
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1860 DUBLIN BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-1295
Mailing Address - Country:US
Mailing Address - Phone:719-599-0047
Mailing Address - Fax:
Practice Address - Street 1:1860 DUBLIN BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1295
Practice Address - Country:US
Practice Address - Phone:719-599-0047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 1772106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist